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Titlebook: Cryptorchidism; Management and Impli Faruk Hadžiselimović Book 1983 Springer-Verlag Berlin · Heidelberg 1983 Gonadotropin.Kryptorchismus.at

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楼主: CK828
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Embryology of Testicular Descent and MaldescentDuring the development of the male genital tract two different stages can be discerned:
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Indications and Contraindications for OrchiopexyThe first treatment is often hormonal therapy with HCG, and more recently with GnRH, since waiting for spontaneous descent carries unacceptable hazards. Operative intervention is the second line of treatment, either by orchio pexy or, less often, by orchiectomy. Certain cases may best be managed by no treatment at all.
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Hormonal TreatmentThe ultimate aim of all therapeutic approaches to cryptorchidism is to achieve intrascrotally located testes. This can be effected either by surgical or by hormonal treatment. Although surgical treatment was inaugurated in 1820 by Rosenmerkel [1] and hormonal treatment about 100 years later [2], the latter is today the treatment of first choice.
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ConclusionsTesticular descent is an event typical among mammalian species. It is observable only in mammals living on the ground and represents a parallel form of evolutionary development. Generally, the mammalian species which have testicular descent are also evolutionarily younger.
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Sampling Strategies: Applications,reated prepubertally, even with unilateral cryptorchidism, will also be infertile in adulthood. At a conservative estimate, some 25% of unilateral and 50% of bilateral cryptorchids will be infertile in spite of successful prepubertal orchidopexy.
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